MS. KODEE AVERY PA-C
NPI 1891501599
Physician Assistant in Glendale, AZ

Q: What is Kodee Avery's NPI number?

The NPI number for Kodee Avery is 1891501599. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Q: What is Kodee Avery's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kodee Avery was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 06, 2024PECOS EnrolledAccepts Medicare Assignment

18275 N 59TH AVE STE 138, GLENDALE, AZ 85308(602) 564-0078(602) 564-1154 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2025, Dec 6, 2024 (2 updates tracked since 2024).

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About Ms. Kodee Avery Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KODEE AVERY PA-C (NPI 1891501599) is an individual physician assistant in Glendale, Arizona, licensed in Arizona (11284) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1891501599

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. KODEE AVERYCredential: PA-C

Location Address18275 N 59TH AVE STE 138Glendale, AZ 85308-1253

Mailing Address18275 N 59th Ave Ste 138Glendale, AZ 85308-1253 · (602) 564-0078 · Fax (602) 564-1154

Phone(602) 564-0078

Fax(602) 564-1154

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 6, 2024

Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration

NPPES CertifiedNovember 12, 2025

✔ NPI 1891501599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 11284

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

18275 N 59TH AVE STE 138, Glendale, AZ 85308

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kodee Avery Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315442324

PECOS Enrollment IDI20250922003529

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUNNESH MOUSHI FNP

Nurse Practitioner (Family)